MATTHEW KERMIT LEE

GROTON, CT
NPI1770932220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-06-06
Last Update Date2016-06-06
Business Address
Mr. MATTHEW KERMIT LEE IDC
465 TROUT AVE NUMI
GROTON, CT 06340
Phone number: 680-666-6666
Mailing Address
Mr. MATTHEW KERMIT LEE IDC
465 TROUT AVE NUMI
GROTON, CT 06340
Phone number: